Hip Flashcards
What is the ROM of the hip
flexion extension abduction adduction internal rotation external rotation
primary hip flexors
Iliopsoas
hip extensors
gluteus maximus
biceps femoris
semitendinosus
semimembranosus
hip abductors
gluteus minimus and medius
hip adductors
pectineus
adductor brevis
adductor longus
adductor magnus
What can cause a dislocation of the femoral head
high-impact/high energy injury
What are symptoms of a dislocation of femoral head
severe pain
decreased or no ROM
other injuries
What is associated with anterior dislocation of the femoral head
flexed
abducted with external rotation
+/- femoral nerve injury
larger femoral head on X-ray
What is associated with posterior dislocation of the femoral head
flexed adducted with internal rotation leg length loss \+/- distal pulses sciatic/femoral nerve dysfunction smaller femoral head on x-ray
What are radiographs for femoral dislocation
AP pelvis
AP/lat femur to knee
CT
femoral dislocation txt
emergent reduction after X-ray repeat X-ray/Ct cruches wt bearing as tolerated exercises close followup
Should a replacement hip that is dislocated be reducted
no send to surgery
What can femoral dislocation cause
osteonecrosis
arthritis
nerve dysfunction
chronic pain
What does a hip fracture involve
proximal femur
- femoral neck
- intertrochanteric
hip fracture risk factors
age white female sedentary tobacco alcohol dementia medications
